4 medical case manager ii jobs found

The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. This is also a part-time, temporary position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises WC claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial...

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Field (Medical) Case Manager position in the Nashville, TN area. Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source Utilizes their medical and nursing...

The Account Support Coordinator works closely with Account Managers and departmental leadership to support customer accounts; this role seeks to understand challenges faced by both the customer and internal processes and helps to identify mutually advantageous resolutions.  Assists Account Managers run and interpret reports on customer account data and metrics.  Attends client meetings and works to resolve complex issues on client accounts.   This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Attends meetings virtually and in person to assist department and Account Manager as needed to build and maintain positive relationships by ensuring customer’s needs are met  Monitor and analyze the key performance indicators (KPIs) of the account, such as call volume, service level, customer satisfaction.  Utilize various tools and systems to generate reports, identify trends, and provide feedback and recommendations to improve the account's performance....

The RTW coordinator facilitates safe, timely and appropriate return to work outcomes for injured employees. Through working partnerships with CorVel’s clients, the coordinator will identify RTW potential and will coordinate activities to achieve return to work outcomes that are successful for our clients and the employee. This is a remote role. Candidates must reside in Tennessee.  ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Direct contact with the client, injured employees and healthcare providers to determine RTW potential and coordinate RTW efforts Active participation in RTW efforts with examiner and nurse case managers Actively works with physicians to clarify medical restrictions, limitations and their impact on work functionality Works with client locations to identify job functions that can be modified and creates a bank of potential RTW job descriptions for future use Monitors injured workers' RTW status to increase functional ability before RTW...